Individual provider Active NPI

Adena Rivka Miller, LCSW-C

  • Clinical Social Worker
  • Kensington, MD
National Provider Identifier
1376205070
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
25952 Issued in MD
Practice address
3720 Farragut Ave Ste 305
Kensington, MD 20895-2110
Phone
(240) 316-4366
NPI assigned
Oct 10, 2021
Last updated
Feb 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LC200002680 DC
Clinical Social Worker 1041C0700X 0904015496 VA
Clinical Social Worker 1041C0700X 25952 MD Primary

Addresses

Primary practice location

3720 Farragut Ave Ste 305
Kensington, MD 20895-2110

Mailing address

3720 Farragut Ave Ste 305
Kensington, MD 20895-2110
Phone (240) 316-4366

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240301000661 DC Practitioner - Clinical Social Worker 8628413663 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quince Orchard Psychotherapy LLCGroup PAC ID 5395194302, 30 clinicians

Practice addresses (Care Compare)

9707 Key W Ave
Suite 100
Rockville, MD 20850-3992
Phone (240) 750-6467

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25952MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Oasis the Mental Health Center, LLC PastSince Jan 29, 2023 Accepting new patients
Quince Orchard Psychotherapy LLC Clinical Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1633824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1376205070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 FARRAGUT AVE STE 305",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208952110",
            "telephone_number": "240-316-4366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 FARRAGUT AVE STE 305",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208952110",
            "telephone_number": "240-316-4366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ADENA",
        "middle_name": "RIVKA",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-10",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "DC",
            "license": "LC200002680",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904015496",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "25952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kensington, MD

Sources for this page

Verify at the official NPI Registry.